Individual
CANDISE MICHELLE HEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5314 N RIVER RUN DR, PROVO, UT 84604-5691
(801) 787-9855
(801) 228-1756
Mailing address
5314 N RIVER RUN DR, PROVO, UT 84604-5691
(801) 787-9855
(801) 228-1756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287927-6009
UT
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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